DR. Michael Lawrence Blackhurst, DDS
NPI #1205040896 in Pennsville, New Jersey
Provider Information
- NPI Number
- 1205040896
- Entity Type
- Individual
- Name
- DR. Michael Lawrence Blackhurst, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 160 S BROADWAY
- City
- Pennsville
- State
- New Jersey
- ZIP Code
- 08070-2220
- Phone
- (856) 678-5124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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